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D.C.Jackson

11220 W. Florissant, #307

St Louis MO 63033-6741

(314) 406-8817

 

 

 

Ship to information:

Name:     

 

Address:

 

Apt No.:

 

City/St/Zip:

 

Phone number:

 

 

 

 

Item No.

Item Description

Price

Color/Size

Quantity

Total Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Merchandise Total

 

 

 

 

 

Plus shipping

 

 

 

 

 

Disct-apply to merchandise

 

 

 

 

 

Total Order

 

 

 

 

Shipping & Handling Chart

These charges represent only a part of the actual costs.  We’ll pay the rest.  If you order is:

up to $24.99. . . . . . . . . . . . . . add $7.50   

From $25 to $34.99. . . . . . . . .add $8.45

From $35 to $44.99. . . . . . . . .add $9.45

From $45 to $54.99. . . . . . . . add $10.45

From $55 to $74.99. . .  . .  . . add $12.45

From $75 to $99.99. . . . . . . . add $13.95

From $100 to $$199.99. . . . .add $16.95

$200 and over . . . . . . . . . . . .add $19.95

Items are shipped to continental U.S. addresses only.

Kindly print and mal this order form, with remittance payable to D.C. Jackson, to the address above.  Please allow up to 10 business days for delivery.

 

We accept cash, checks, money orders, cashier’s or certified checks.

 

Credit cards accepted with valid email address; Orders will be shipped within 2 business days. Please supply your email address here:___________________________